| NPI | 1891733986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 50376) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 31526) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2026-08-11 |